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Data Table

Data Notes

ICD Stands for International Classification of Diseases. It is a coding system maintained by the World Health Organization and the U.S. National Center for Health Statistics used to classify causes of death on death certificates and diagnoses, injury causes, and medical procedures for hospital and emergency department visits. These codes are updated every decade or so to account for advances in medical technology. The U.S. is currently using the 10th revision (ICD-10) to code causes of death. The 9th revision (ICD-9) has been used for hospital and emergency department visits until 3rd quarter of 2015. The ICD-10 was used from the 4th quarter of 2015.

Starting with the 2015 data, the methodology for grouping payers was simplified to follow HCUP categorization. Because of this, users should be cautious about performing comparisons between 2015 and previous years. The most substantial change has been the elimination of the Blue Cross/Blue Shield and Managed Care categories. This field is subject to change in the future as refinements are made to the methodology.

Prior to 2015 San Juan County was part of the Southeast Local Health District. In 2015 the San Juan County Local Health District was formed. Data reported are for all years using the current boundaries.

Data Sources

Utah Inpatient Hospital Discharge Data, Office of Health Care Statistics,
Utah Department of Health.
Utah Population Estimates Committee (UPEC) and the Governor's Office of Planning and Budget (GOPB)
for years 1980-1999.
For years 2000 and later the population estimates are provided by the National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S.
Census Bureau, IBIS Version 2017.

Data Issues

The Hospital Discharge Database (HDDB) contains the consolidated information on complete billing, medical codes, and personal characteristics describing a patient, the services received, and charges billed for each inpatient hospital stay. The OHCS receives discharge data quarterly from hospitals in various format and media. The data are converted into a standardized format. The data are validated through a process of automated editing and report verification. Each record is subjected to a series of edits that check for accuracy, consistency, completeness, and conformity with the definitions specified in the Data Submittal Manual. Records failing the edit check are returned to the data supplier for corrections of comment.

Coverage and Validity of Diagnosis Codes: Since the data come from the billing
forms, all visits or encounters have a Diagnosis code making coverage great.
There is some difference of opinion regarding whether some providers may emphasize
Diagnosis codes that yield higher reimbursements. The hospital and ED data are
considered "Administrative Data" because they were created for use in billing
and remittance of payment. As such, they were not constructed for public health
surveillance purposes primarily, and are weak in some areas, such as external
cause of injury and race or ethnicity. But, in general, they are extremely
valuable and reasonably complete and valid.

Utah DOH

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Page Content Updated: Thu, 3 Jan 2019 14:37:32 MST

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Retrieved
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